Team Dental At River Oaks in Woodbridge - Exclusive Provider Organization

Team Dental At River Oaks - NPI 1447433578

Team Dental At River Oaks is a Exclusive Provider Organization in Woodbridge, Virginia. Team Dental At River Oaks practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Team Dental At River Oaks is 1447433578. The last update date is 2007-12-12.

Team Dental At River Oaks's current location address is 16689 River Ridge Blvd, Woodbridge, Virginia. You can contact this provider via phone number 7032219759 and fax number 7032212782. The mailing address for Team Dental At River Oaks is 16689 River Ridge Blvd, Woodbridge, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Team Dental At River Oaks
Address 16689 River Ridge Blvd, Woodbridge, Virginia
Phone Number 7032219759
Fax Number 7032212782
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name King Enon Michael
Credentials D.D.S.
Telephone Number 7032219759

NPI Number Detail

NPI Number 1447433578
Provider Enumeration Date 2007-12-12
Last Updated Date 2007-12-12

Provider Mailing Address Detail

Address 16689 River Ridge Blvd
City Woodbridge
State Virginia (VA)
Post Code 221914630
Phone Number 7032219759
Fax Number 7032212782

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 8593
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

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FAQs about Team Dental At River Oaks

What is the unique 10-digit identifier code issued to Team Dental At River Oaks by the Centers for Medicare & Medicaid Services?

The Team Dental At River Oaks has been assigned the NPI (National Provider Identifier) 1447433578 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Team Dental At River Oaks is physically located?

The Team Dental At River Oaks is physically situated at the following address: 16689 River Ridge Blvd, Woodbridge, VA, 221914630.

What is Team Dental At River Oaks's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Team Dental At River Oaks is Exclusive Provider Organization, and the taxonomy code that classifies this field of practice is 302F00000X.

When was the Team Dental At River Oaks's 1447433578 issued?

The Team Dental At River Oaks's 1447433578 was issued on 2007-12-12.

As of what date were the details pertaining to Team Dental At River Oaks last refreshed?

The information related to the Team Dental At River Oaks, including its address, specialty, and other relevant details, was last updated on 2007-12-12.

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